HomeMy WebLinkAboutNCG060182_Monitoring Report_20220302mp
O
� mg
12
Permit and Facility Information:
dog
O
OS
Please enter the permit number and other details for this upload.
m
IMPORTANT. Until your stormwater permit is registered in the eDMR system, an original signed (not digitally
signed) hardcopy of the DMR must be mailed to the address in your permit, in addition to this electronic
upload.
Permit Number*
Enter COC or Individual Permit Number (NOT General Permit number with all 0's)
NCG060182
Must begin with NCS or NCG
Facility Name:*
Pilgrim's Pride Corporation, Marshville Processing Plant
County: *
Union
After uploading here, the original signed hardcopy must be mailed to:
DEQ Mooresville Regional Office
Attn: DEMLR Stormwater Program
610 East Center Avenue
Suite 301
Mooresville, NC 28115
Further contact details at https://deq.nc.gov/contact/regional-offices/mooresville
Monitoring Period Information:
Multiple DMRs from sampling periods within the same year can be uploaded together, but please upload different
years with a new submittal form.
Monitoring Period What is the YEAR of the sample date(s)?
Year:* 2022
Copies of the lab results and/or qualitative (visual) monitoring should NOT be submitted unless specifically
requested by DEQ staff. Only upload completed and signed DMR forms.
**DMR forms should have original signature (not digital) to comply with requirements in 40 CFR 122.22**
DMR Upload* Click the upload button or drag and drop files here to attach document.
Signed 1 st Quarter 2022 SW DMR.pdf 88.92KB
Only PDFs are accepted.
Comments: For your review and approval!
* By checking the box and signing box below, I certify that:
o I have given true, accurate, and complete information on this form;
a I agree that submission of Os Discharge Monitori Report (DMR) Uploa0form is a "transaction" subject to Chapter
66, 4ticle 40 of the NC General Statutes (the "Un rm Electronic Transactions Act");
• I agree to conduct this transaction by electronic means pursuant to Chapter 66, Article 40 of the NC General
Statutes (the "Uniform Electronic Transactions Act");
o I understand that an electronic signature on this upload form has the same legal effect and can be enforced in the
same way as a written signature; AND
o I intend to electronically sign and submit this DMR Upload form.
Full Name:* yinpong Chang
Name of person submitting this form
Email Address: * yin-pong.chang@pilgrims.com
Phone Number:* 17046244317
Signature: *
Date: * 02/28/2022
NCDEQ Division of Energy, Mineral and Land Resources
C
Stormwater Discharge Monitoring Report (DMR) Form for NCG060000 $s�6°�y
Food and Kindred Pp�d
Click here for instructions P ��
0oP
Complete, sign, scan and submit the DMR via the Stormwater NPDES Permit Data Monitoring Report (DMR) Uploa rm within
30 days of receiving sampling results. Mail the original, signed hard copy of the DMR to the appropriate DEMLR Regional Office.
Certificate of Coverage No. NCG06 0 1 8 2 Person Collecting Samples: Yin -Pony George CHANG, P. E.
Facility Name: Pilgrim's Pride Corporation, Marshville Processing Plant Laboratory Name: K & W Laboratories
Facility County: Union I Laboratory Cent. No.: 559
Discha ge during this period: M Yes ❑ No (if no, skip to signature and date)
Has 4r facility implemented m datoryTier response actions for any benchmark exceedances? W Yes ❑ No
If so,kvhich Tier (1, 11, or III)? 111 ' 'J
Part A: Analytical Monitoring Requirements for Outfalls with Industrial Activities— Benchmarks in (Red)
Parameter
paramete r
Outfall #1
Outfall
Outfall
Outfall
Outfall
Code
N/A
Receiving Stream Class
Salem Creek
N/A
Date Sample Collected MM/DD/YYYY
02/04/2022
46529
24-Hour Rainfall in inches
0.2
00556
Oil & Grease in mg/L (30)
< 5.9
C0530
TSS in mg/L (100 or 50•)
18
00400
pH in standard units (6.0 — 9.0)
6.3
31616
Fecal Coliform per 100 ml of
�i,sJo
freshwater (2000)
Enterococci per 100 ml of saltwater
61211
(500)
00340
Chemical Oxygen Demand in mg/L
18
(120)
Part B: Vehicle & Equipment Maintenance Areas — Benchmarks in (Red)
Parameter
Parameter
Outfall
Outfall
Outfall
Outfall
Outfall
Code
N/A
Receiving Stream Class
N/A
Date Sample Collected MM/DD/YYYY
00552
Non -Polar Oil & Grease in mg/L (15)
New Motor/Hydraulic Oil Usage in
NCOIL
gal/month
• Outfalls to Outstanding Resource Waters (ORW), High Quality Waters (HQW), Trout Waters (Tr) and Primary Nursery Areas (PNA)
have a benchmark TSS limit of 50 mg/L. All other water classifications have a benchmark of 100 mg/L.
Notes (optional):
"I certify by my signature below, under penalty of law, that this document and all attachments were prepared under my direction or
supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information
submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for
gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am
aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for
knowing violations."
Signature of Permittee or Delegated Authorized)Adividual Date
jj
K & W Laboratories
1121 Hwy 24/27 W
Midland, North Carolina 28107
Tel (704) 888-1211 Fax (704) 888-1511
Client: Pilgrims Pride Corp.
PO Box 668
Marshville, NC 28103
Project: � `
Stormwater # 1
Location:
Outfall #001
SAMPLE #
PARAMETER
22020411-01
22020411-01
22020411-01
22020411-01
22020411-01
COD
Fecal Conform
Oil&Grease
pH
TSS
RESULT
18
4850
<5.9
6.3
18
Results Report
Date: 22-Feb-22
Order ID: 22020411
Collect Date:
�! 2/4/2022
Collect Time:
8:10:00 AM
REPORTING ANALYSIS
UNITS
METHOD
LIMIT DATE
mg/L
SM5220D
10 2/9/2022
colony/100mi
SM9222D (MF)
1 2/4/2022
mg/L
EPA1664B
5.9 2/7/2022
units
SM45001-1+13
0.1 2/4/2022
mg/L
SM2540D
2.5 2/6/2022
pH analysis initiated more than 15 minutes after sample collection.
NC Certification: 559 SC Certification: 99061
Certified By
G. Kmska / Lab Director
K & W Laboratories
1121 Hwy 24127 W Midland, NC
28107
cuent/company: PI! rims Pride
Address: PO Box 668
Marshvilie, NC 28103
Contact •yr 1 cov C
Phone: 04 Fax
z -431
Pmod Nang Stormwater
n
FT
O
C
U
C
sent �e p.� Pan Ca . a an {'�
By
Item
Sample ID / Location
cry
z
Na.
CWO 19W
IP
1
Outfall # 001
"
G
sw
1 P
2
G
sw
sw
1 P
_ — —
G
1G
3
G
sw
1 P
n
NJ
Tel: 704-888-1211
Fax: 704-888-1511
Report oT
Copy To:
Bill To:
Chain of Custody Record
PRemarks:
Outfall # 001
Typo 01 cat.
P.PUSUC
tMalrtt T%= SWStam %%w 0-Gtsss
Reoe9red B Date: S o ! Z : iA SamAla Temp --c
?J : M 5� Re feed a IV on k r QN